Healthcare Provider Details

I. General information

NPI: 1861448367
Provider Name (Legal Business Name): MARTHA B ARAMBULA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 10/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1804 COMMONS CIR SUITE B
YUKON OK
73099-9524
US

IV. Provider business mailing address

PO BOX 196
OKLAHOMA CITY OK
73101-0196
US

V. Phone/Fax

Practice location:
  • Phone: 405-577-6700
  • Fax: 405-265-0973
Mailing address:
  • Phone: 405-577-6700
  • Fax: 405-265-0973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number18982
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: